Funcionalidad familiar y control de la hipertensión arterial en adultos de dos consultorios de Medicina Familiar y Comunitaria. Centro de Salud Pascuales. Año 2021.

Abstract

Background: Arterial hypertension (HTN) is a disorder in which the blood vessels have a persistently high blood pressure ≥ 140/90 mmHg. Family functionality is the ability of the family to meet the needs of its members, adapt to changing situations and overcome the crises it is going through. The objective of this research is to determine the possible association between family functionality and blood pressure control. Methods: An observational, prospective, longitudinal, analytical and relational study was carried out. The universe consisted of 102 hypertensive patients from two offices of the Pascuales Health Center in 2021. Data was collected through two test-type questionnaires, addressed to patients, additionally, blood pressure was taken once a month during one trimester, to identify the level of disease control following the criteria of the 2019 Arterial Hypertension Clinical Practice Guide of the Ecuadorian Ministry of Public Health. Results: The data obtained in the study population indicated that there was a predominance in the female sex with 66 (64.7%), the age group from 50 to 59 years with 32 (31.4%), mixed ethnicity with 92 (90.2%), inadequate income with 53 (52%), secondary schooling completed with 34 (33.3%), housewife occupation with 48 (47.1 %). Regarding family functionality, there were: 33 (32.4%) functional, 41 (40.2%) moderately functional, 27 (26.5%) dysfunctional and 1 (1%) severely dysfunctional. Regarding the control of blood pressure, it was established: 64 (62.7%) uncontrolled hypertensive and 38 (37.3%) controlled. Conclusions: Regarding the association between family functionality and blood pressure control, no statistically significant association was found.